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Ivan Pelton
Endodontist in Pembroke Pines, Florida
NPI 1235243189

Ivan Pelton is a Endodontist based in Pembroke Pines, FL and is specialized in Endodontics. Ivan Pelton practices in Pembroke Pines, FL. The NPI Number for Ivan Pelton is 1235243189 and holds a License No. DN5838 (Florida).

The current practice location address for Ivan Pelton is 12558 Pines Blvd, Pembroke Pines, FL and can be reached out via phone at 954-639-6998 and via fax at 754-206-4282. You can also correspond with Ivan Pelton through the mailing address at 12558 PINES BLVD, PEMBROKE PINES, FL - 33027-1713 (mailing address contact number: 954-639-6998).

Location: 12558 Pines Blvd, Pembroke Pines, FL, 33027-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235243189
Provider Name
Ivan Pelton
Credential
Provider Entity Type
Individual
Gender
Male
Address
12558 Pines Blvd, Pembroke Pines, FL, 33027-1713
Phone Number
954-639-6998
Fax Number
754-206-4282
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730203100 01 FL DMD
institution
Provider Business Practice Location Address Details
Address
12558 Pines Blvd
City
Pembroke Pines
State
Florida
Zip
33027-1713
Phone Number
954-639-6998
Fax Number
754-206-4282
person
Provider Business Mailing Address Details
Address
12558 Pines Blvd
City
Pembroke Pines
State
Florida
Zip
33027-1713
Phone Number
954-639-6998
Fax Number
754-206-4282
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
DN15585 (Florida)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN5838 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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